Aa
Dr Lupo - Can you offer your opinion?
By way of a quick background, I had an ultrasonography performed on 09/04/2008, and the findings were:
"Multiple ultrasound images of the soft tissues of the neck including the thyroid were obtained. The right lobe is 4.8 cm and the left is 3.5 cm. The isthmus is less than 2 mm. There are tiny anechoic lesions at both inferior poles, on the right measuring 5 mm and on the left measuring 3 mm. These would suggest cyst-like lesions. Just inferior to the right lobe is hypoechoic lesion measuring 1 cm. This also ha a somewhat cystic appearance. The largest cystic portion measures approximately 8 mm. It could be related to a parathyroid abnormality or small node."
Another one was performed on 03/11/2009. "Sonographic evaluation demonstrates the right lobe to measure 4.1 and the left lobe to measure 4.1 cm in maximal longitudinal dimension. There is redemonstration of two small hypoechoic cystic appearing Region I believe at the inferior polar region of both the right and left lobes of the thyroid gland, one measuring 4 mm and one 3 mm. There are also small exophytic hypoechoic areas at the inferior polar region of the right and left lobes, which may represent small parathyroid adenomas. The one on the right measures approximately 9 mm, this is not really changed in appearance compared to prior study. There is now a small hypoechoic area of nodularity at the inferior pole of the left lobe measuring 8 mm. It may represent a small parathyroid abnormality or small node. This was not seen on prior exam. Further evaluation with computed tomography of the neck may be of benefit in providing additional information."
Calcium levels were normal in 09/08, and that is why my doctor's office feels nothing more needs done.
If you don't mind, it would be great if you could put the results from the ultrasonographies into layman's terms for me, and give your opinion whether they should be of any concern. Thank you!
"Multiple ultrasound images of the soft tissues of the neck including the thyroid were obtained. The right lobe is 4.8 cm and the left is 3.5 cm. The isthmus is less than 2 mm. There are tiny anechoic lesions at both inferior poles, on the right measuring 5 mm and on the left measuring 3 mm. These would suggest cyst-like lesions. Just inferior to the right lobe is hypoechoic lesion measuring 1 cm. This also ha a somewhat cystic appearance. The largest cystic portion measures approximately 8 mm. It could be related to a parathyroid abnormality or small node."
Another one was performed on 03/11/2009. "Sonographic evaluation demonstrates the right lobe to measure 4.1 and the left lobe to measure 4.1 cm in maximal longitudinal dimension. There is redemonstration of two small hypoechoic cystic appearing Region I believe at the inferior polar region of both the right and left lobes of the thyroid gland, one measuring 4 mm and one 3 mm. There are also small exophytic hypoechoic areas at the inferior polar region of the right and left lobes, which may represent small parathyroid adenomas. The one on the right measures approximately 9 mm, this is not really changed in appearance compared to prior study. There is now a small hypoechoic area of nodularity at the inferior pole of the left lobe measuring 8 mm. It may represent a small parathyroid abnormality or small node. This was not seen on prior exam. Further evaluation with computed tomography of the neck may be of benefit in providing additional information."
Calcium levels were normal in 09/08, and that is why my doctor's office feels nothing more needs done.
If you don't mind, it would be great if you could put the results from the ultrasonographies into layman's terms for me, and give your opinion whether they should be of any concern. Thank you!
MEDICAL PROFESSIONAL
These are likely lymph nodes not parathryoid glands (esp with the normal calcium).
Would test for hashimoto's (TPO and Tg antibody) as this is a typical description of normal, reactive lymph nodes in Hashimotos (thyroid inflammation). And test TSH.
It is tough to interpret sometimes from the report - that is why thyroid experts do their own ultrasound.
Would test for hashimoto's (TPO and Tg antibody) as this is a typical description of normal, reactive lymph nodes in Hashimotos (thyroid inflammation). And test TSH.
It is tough to interpret sometimes from the report - that is why thyroid experts do their own ultrasound.
Thank you for your opinion - I greatly appreciate it. I will follow up on your suggestion.
You are reading content posted in the Thyroid Cancer / Nodules & Hyperthyroidism Forum
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
